Open Enrollment for Retirees

January 10, 2025 update

United Healthcare confirmed HealthPartners will remain an in-network provider for UHC Premier and Standard Medicare Advantage plans at least through the end of 2026.UHC also confirmed Ramsey County can offer the Senior Supplement with Prescription Drug plan for plan year 2026.  

With confirmation from UHC that retiree access to HealthPartners providers will continue through 2026 and Ramsey County can continue providing the Senior Supplemental plan for 2026, Ramsey County will not be requesting proposals for new retiree medical plans for 2026. Ramsey County Human Resources will request proposals for new retiree medical insurance for plan year 2027.

Remember

The County extended a one-time exception to Retirees who left the county’s retiree insurance program in 2025 that allows retirees to return to any of the 3 UHC medical plans at any time during 2025 or for 2026.  Retirees who want to return to one of the 3 UHC plans must do so by 1/1/2026.

Please use [email protected] to contact Ramsey County Human Resources regarding these updates. 

UPDATE as of November 12, 2024:

United Healthcare has reached agreements with HealthPartners and Essentia Health ensuring continued, uninterrupted network access to HealthPartners and Essentia Health facilities and providers for retirees enrolled in a UHC Medicare Advantage plan for 2025.

On November 12, 2024, Human Resources sent a letter to all retiree home addresses announcing the agreements and providing next steps for retirees who want to update their 2025 plan enrollment. (link to letter)   

Open Enrollment for 2025 Insurance Benefits began Monday, Oct. 21 and was scheduled to end Monday, Nov. 11. Given the recent UHC agreements with HealthPartners and Essentia Health, retirees will have until November 29, 2024 to update their 2025 enrollment. Follow the instructions in the letter dated November 11, 2024 to update enrollment or email [email protected].  

Drop-in sessions

In-person drop-in sessions will be held at the Maplewood Community Center on both Friday, October 18th and Thursday, October 31st. Human Resources staff will be there to answer individual questions and collect enrollment forms from retirees from 9 a.m. to noon and 1 to 3 p.m. each day. 

Informational meeting

One virtual meeting was held on Tuesday, Oct. 29 from 1:30-3:00 p.m. CST via Zoom. Representatives from Ramsey County Human Resources, United Healthcare, Blue Cross Blue Shield and MetLife presented benefits and answered general questions. 

 Watch the recorded Zoom meeting

Key things to keep in mind

  • All plans offered for early retiree medical and retiree dental remain the same for 2025.
  • There is a deductible increase, based on IRS rules, to the BCBS High Deductible Health Plan in 2025. 
  • Chiropractic therapies on the BCBS Broad plan will go from 20% coinsurance in 2024 to a $30 copay in 2025.
  • If you are making changes to your dependent enrollment, you will need to return your personal enrollment form and may need to also complete a Dependent Change Form.
  • If you are not making any changes, you do not need to complete the enrollment form and the coverage shown on your form will be the plan you will remain in for 2025.  If you are making changes and need to return your enrollment form, please mail it to Ramsey County Human Resources, 121 7th Place E, Suite 4000, Saint Paul, MN 55101
  • Please note: The rates on the enrollment forms in your packets for early retirees and retirees covering dependents on a  BCBS plan may not be your final rates as they subject to bargaining and have not yet been approved by the county board. 
  • If you pay your invoices for premiums via check or bank bill-pay, you must always include your invoice number on your payment. Please note, these numbers change every quarter. 
  • Retirees who carry single coverage and have Medicare or cover themselves and a spouse, both on Medicare, will have access to the new UHC Senior Supplement and Prescription Drug Plan in 2025. Further details are included in your individual enrollment packet that was mailed to you the week of October 14th.
  • Retirees who are enrolled in both the UHC Medicare Advantage plan and the MetLife Dental plan must be sure their dental office has the proper coordination of benefits.  UHC Premier or Standard plan need to be listed as primary dental insurance and MetLife Select or Open plan as your secondary insurance.
  • If you are a retiree with dependents under age 65 (spouse or children), those dependents will only have access to the Blue Cross Blue Shield Broad plan, as in 2024. Retirees with dependents not Medicare eligible will only be able to enroll in the UHC Premier plan and will have the option to move to the UHC Standard plan or UHC Senior Supplement plan when all dependents are eligible for Medicare. 
  • If you have questions on premiums, eligibility or adding / dropping coverage, contact Azure Wickert at 651 266-2731.
  • If you wish to enroll in quarterly auto payment of insurance premiums, complete the Direct Debit Form here and return via email to Azure or mail it to: 121 7th Place E, Suite 4000, Saint Paul, MN 55101
  • Ramsey County invoices may now be paid online! Please visit ramseycounty.us/PayInvoices for more information. You will need your Customer Number and Invoice Number to complete your transaction.
  • If you need to change your address email Azure or leave a voicemail with the address change at: 651 266-2731.
  • All calls will be answered as soon as possible. Your patience is appreciated!

Medical Insurance Options for Regular Retirees

Ramsey County will remain with United Health Care for 2025 regular retiree medical insurance plans. 

United Health Care has a dedicated phone line to answer your questions on the Medicare plans, call 1-844-588-5872, TTY 711 or go online and visit the webiste: retiree.uhc.com/ramseycountymn.

View a recorded presentation explaining these benefits: 2025 United Health Care Benefits Presentation 

2025 United Healthcare Premier and Standard Plans

2025 United Healthcare Senior Supplement with Prescription Drug Plan

BCBS Broad Plan for retirees over 65 and not eligible for Medicare -Formerly Major Medical

MetLife Dental Plans

Ramsey County’s dental program will be provided by MetLife in 2025. Retirees who elected coverage at the time of retirement and are currently enrolled in a dental plan will have the opportunity choose either of the MetLife dental plans in 2025.

View Dental Open Enrollment presentation

Dental Plan Benefits Comparison Chart (PDF)

 

MetLife Select Plan

MetLife Open Plan

Information for Early Retirees

Ramsey County will offer Early Retirees and their families the Blue Cross Blue Shield Plans again in 2025. There will be 4 coverage tiers to choose from for this plan. The premiums for most 2025 Early Retiree plans have not yet been set by the county board. More information is available on the employee open enrollment page 2025 Employee Open Enrollment.

Frequently Asked Questions

Why can’t I cover my non-Medicare dependents and have Sr. Supplement?

Ramsey County historically has only offered one plan that combines with dependents on the under 65 plan. The Sr Supplement plan is offered just like the UHC Standard plan, where the only way to be on the plan is if all members enrolled are on Medicare.

HealthPartners said they are not going to take the UHC Sr. Supplement Plan -    

UHC Response: At this time there is no reason why HealthPartners would not accept the Supplement plan.  When providers bill Original Medicare for services, the claims are automatically routed to the supplement plans by Medicare and then payment is processed.

 

Why did RC just add another UHC Plan for us?

HealthPartners notified us of their intentions in July and because we have to follow strict state guidelines on adding new contracts and 5 months’ notice is not enough time for this process. The county board approved a solution that would allow retirees access to HealthPartners using what we already had in place.

Why are we not having OE info meetings?

Because each retirees’ need are so unique and questions vary by situation, we chose to do one on one sessions rather than a group info session this year.

Will we still need coordination of dental benefits if we move to the Sr. Supp plan?

No, there is no need. This is because there are no extra dental benefits on the supplemental plan, only the Medicare Advantage plan add the extra dental benefit.

If I drop, can I come back and will I still get my county contrib. and will I lose my contribution?

Your earned county contribution is locked in to our HR system and that will not go away if you take advantage of this one-time opportunity to drop the RC plan and come back. If you leave the county plan now and an agreement is reached that makes you interested in coming back on the plan, you can go back on the MA plans anytime in 2025 or for a last opportunity for 1-1-26 and that original county contribution will continue.          

Will I still be using Optum for my prescriptions on the Sr. Supplement with Rx plan?

Yes, Optum will continue to manage the prescriptions for the Part D plan that is paired with the Supplement.

What do I do about prescriptions that I have refills ordered for in to 2025 if I change from a UHC Medicare Advantage plan to the Sr. Supplement?

Members will want to update their ID card with their pharmacist when they pick up their prescriptions in January if they move to the Sr. Supp/PDP plan.  Individuals that change plans will receive a new Part D ID card so they want to be sure to use that.

Will all my same drugs be covered at the same level if I switch to the Sr. Supplement with Rx plan?

Yes

How would I go about finding a new provider if I stay on the Medicare Advantage plan and stop using HealthPartners or Essentia?

Members can go to retiree.uhc.com/ramseycountymn or they can call the number on the back of their ID card if they need help finding new providers

What are the benefits for the skilled nursing facility with the Sr. Supplement with Rx plan? Can I get care if I was not admitted in the hospital for 3 days? There is a “no” listed in the coverage line on the plan document.

The Senior Supplement plan follows Medicare guidelines which requires a prior hospital stay when receiving inpatient skilled nursing care.